FREDERIC A. HUMPHREY (DO) – Internal Medicine Physician, NPI 1366438848

FREDERIC A. HUMPHREY (DO) is a healthcare provider. based in Marietta, Ohio. specializing in INTERNAL MEDICINE. They hold the professional credentials DO. They hold a License No. 34002561H (OH). The NPI Number for FREDERIC A. HUMPHREY (DO) is 1366438848

Main info

Male
50 Years Of Experience
Accepts Medicare Assignment
Name
FREDERIC A. HUMPHREY (DO)
NPI
1366438848
Phone
(740) 374-4590
Address
4727 STATE ROUTE 60
Enumeration Date
21 September 2005
Last Update Date
15 January 2015

Doctor Profile

Medical School Name
AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Secondary Phone
7403744590
Graduation Year
1976 (50 years ago)
PAC ID
9234147158
Professional Enrollment ID
I20060403000781
Address ID
OH457505360MA4727X60XX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

7,199 INTERNAL MEDICINE in OH

Provider Addresses for FREDERIC A. HUMPHREY (DO)

  • 4727 STATE ROUTE 60

    MARIETTA, OH 457505360

    Phone: (740) 374-4590

    Fax: (740) 568-0310

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 139 Open Payments records for all available years, with a total value of $2,243.

Total Amount is formed as General ($2,243) + Research ($0) + Ownership ($0) = $2,243.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($757).

Total Amount

$2,243

General + Research + Ownership

Payments

139

Total payment records

General Amount

$2,243

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-05-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060403000781IInternal MedicineOHTBD
I20120511000076IInternal MedicineWVTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes669118$0
99406Smoking and tobacco use intensive counseling, 4-10 minutes15644$0
J1100Injection, dexamethasone sodium phosphate, 1 mg12719$0
G0444Annual depression screening, 5 to 15 minutes7777$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit7676$0
View full utilization report →

Insurance plans in this area (ZIP 45750)

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Provider's Procedures

FREDERIC A. HUMPHREY (DO) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEOH45378Diagnostic examination of large bowel using an endoscope1111
INTERNAL MEDICINEOH83036Hemoglobin A1C level3627

Reviews

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Frequently asked questions

How is FREDERIC A. HUMPHREY (DO) identified in CMS data?
CMS-hosted NPPES data lists FREDERIC A. HUMPHREY (DO) with NPI 1366438848.
Can I rely on FREDERIC A. HUMPHREY (DO) being an active provider?
As of the registry snapshot, FREDERIC A. HUMPHREY (DO) is marked active.
What is FREDERIC A. HUMPHREY (DO)'s primary classification?
Internal Medicine Physician is the headline specialty for FREDERIC A. HUMPHREY (DO) here. Clinical services aligned with this taxonomy classification.
What address line appears for FREDERIC A. HUMPHREY (DO)?
FREDERIC A. HUMPHREY (DO)'s geographic hint is Marietta, Ohio in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.